Insights

Happy St. Patrick’s Day! Today is a national holiday in only a few places; Newfoundland, Labrador, Montserrat and Ireland. Contrary to popular myth, corned beef and cabbage is not Irish, but rather an American concoction. The Irish used bacon. Why does this matter to...

In a typical doctor-to-doctor practice sale or transition, the practice is valued at between 60% and 100% of collections. In an Invisible Dental Support Organization (IDSO) partnership, many practices achieve values over 200% of collections, with some realizing up to 400%.

My mantra for 2025 is to say more with fewer words. Wish me luck! See how I do on our first 2025 Webinar, January 16th: Recap of 2024 and Forecast for 2025, or email me for a copy. Q4 2024: $3.8 billion IDSO third recapitalization in seven years, up from $330 million...

This article first appeared in the November 2024 issue of Dental Economics Magazine The October 15 tax bill is paid, which means the tax agony is over—for now, anyway. It is time to think about making money instead of giving it to our bloated bureaucracy. The...

The Largest Invisible Dental Support Organization (IDSO) in the country completed their third recapitalization immediately after the U.S. election. Over 700 partner doctors were able to harvest profits from their retained equity ownership at long-term capital gains tax rates.

Contrary to popular belief, practice values in IDSO (invisible dental support organization) partnerships continued to achieve new records in the first half of 2024 for larger, growing Large Practice Sales (LPS) clients nationally. Fortunately, new investors in IDSOs are not just private equity.

LPS client values in some cases set new records in the first half of 2024, but not all. How did LPS get 10x EBITDA for one GP practice but only 7.5x for another? Or what about the pedo/ortho practice that achieved 11x EBITDA, but another practice in a better geography...

You don’t get to be the biggest advisor achieving the highest values for your dental practice clients without a unique strategy. One of LPS advantages is our “insider information” not just in dental, but across the general economy and geopolitical landscape; all which...

Endodontic specialists to some degree live on referral island. Isolated from the vicissitudes of new patient marketing now required by general dentists, orthodontists, oral surgeons and periodontists to achieve double digit growth rates, endodontists blissfully rely...

Contrary to popular belief, dental practice values in the U.S. are still setting new records in 2024. Yes, interest rates have impacted some Invisible Dental Support Organizations (IDSO) but just in Q1 2024, over $3.3 BILLION of new capital/credit was invested in...

Record Values Growing practices are setting new record values. If you are a younger doctor with one or more partners or associates and have collections in 2024 above 2023, values are still high. Record Number of IDSO Bidders Many IDSOs have stopped new partnerships...

Since the onset of Covid, four years ago, every one of the IDSO partnerships created for LPS clients ($1.0+ billion in the last 24 months) has included an Earn Out component. Doctors get paid for their incremental growth in EBITDA or collections in the two years AFTER...